Triangle Medical Professionals LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

132522 Issued in NC

Legal business name

TRIANGLE MEDICAL PROFESSIONALS LLC

Practice address

8512 Six Forks Rd
Suite 102B
Raleigh, NC 27615-3255

Phone

(919) 870-8845

NPI assigned

Jul 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence A Blelloch, PANPI 1245287416

Title

Managing PA

Phone

(919) 870-8845

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Andrew Blelloch, PA

  • Physician Assistant
  • Raleigh, NC
  • NPI 1245287416
  NPD (past) Authorized official
• Brooke Whitley Rosenberg, PA

  • Physician Assistant
  • Raleigh, NC
  • NPI 1235367152
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1417974064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "SUITE 102B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-870-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 SIX FORKS RD",
            "address_2": "SUITE 102B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153255",
            "telephone_number": "919-870-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE MEDICAL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "BLELLOCH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PA",
        "authorized_official_telephone_number": "919-870-8845",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "132522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAL BOARD LICEN",
            "identifier": "132522",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triangle Home Infusions LLC
• Triangle House Calls PLLC
• Triangle in Home Support Services
• Triangle Lithotripsy Corporation
• Triangle Medical Equipment Supply, Inc
• Triangle Mobile Physical Therapy LLC
• Triangle Neurosurgery
• Triangle Neurosurgery, PA
• Triangle Nutrition Therapy Inc
• Triangle Orthopaedics Surgery Center

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.